F.E.A.S.T's Around The Dinner Table forum

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strawdog
Morning all - my d is now almost 6 weeks into refeeding and doing well - put on just over 3kg. However she has noticed this a lot and this is causing her anxiety. Firstly I need reassuring that I haven't fed her too much too soon - I shouldn't have gone slower to allow the weight to come back on more gradually? Last night she was obviously struggling with it a lot as she didn't go to bed until later than normal and then I see this morning he had googled abdominal bloating - causes. Is there anything we can do to ease it - any foods that are better for this feeling than others or is it just ED saying you ate too much today and look how fat you look/feel? I know its normal for the weight to go back on here to start with and that it will redistribute itself - do we just ride it out and not dwell on it or should we talk to her about it today? She is struggling with her mental state still very much.
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tina72
It is evidence based that fast refeeding is best. The faster she is on a good weight the faster brain recovery starts. You just lengthen the pain when you do it slow.
Try to avoid extra bloating food and try some over the counter meds against bloating (we had some that are called Gastrovegetalin here and that are based on balm). The intenstine system has to learn again how to digest all this food. Some dryed intestine bacteria might help as well. The bloating accompanied us through the first year but is nearly gone now after 2 years.

I would not talk about it and ride it out unless SHE wants to talk about it. Then I would say "I am sorry that you do not feel well at the moment but I am sure it will get better soon" and just change the subject.
Keep feeding. There is light at the end of the tunnel.
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Suzanne
Good morning from New Jersey!
yes; this is a terrible side effect from re-feeding.  My son experienced this intensely for the first 4 months or so. His MD ( a specialist) recommended  over the counter relief meds as tina72 recommended... mostly, distraction worked the best for him.  It’s truely painful!
It’s a terrible thing that what they need the most ( food) feels like it’s against them. 
Keep at it.  
Love and light!
suzanne 
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scaredmom
Remember there is the psychological bloating too. And it has to happen to get better. 
They are more sensitive to the changes in bowel/stomach stretching but it may not be pathological.
XXX
Food+more food+time+love+good professional help+ATDT+no exercise+ state not just weight+/- the "right" medicine= healing---> recovery(--->life without ED)
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Foodsupport_AUS
It is really normal for them to feel uncomfortable, particularly in the first month or two of refeeding. For my D it went on much longer. It is a combination of things - the increased food when there stomach and bowels are not working well, the sensitivity for ED to stomach distension, the fear of weight gain. Knowing it is expected is helpful. Many have used heat packs and of course good old distraction. 

Tina is right, the faster weight gain occurs it seems the more likely there is recovery. No one wants to be stuck re-feeding for ever so of course that 0.5 to 1kg per week seems a good starting place to work at. 
D diagnosed restrictive AN June 2010 age 13.5. Weight restored July 2012. Relapse and now clawing our way back. Treatment: multiple hospitalisations and individual and family therapy.
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strawdog
Ok thanks all - great advice as always 🙂
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needhelp
YES!  The bloating was a real problem.  She was very uncomfortable (sometimes pain) -- I do agree with scaredmom that there is also psychological bloating - but its there and hurts regardless.  It's kind of like an obstacle that is thrown in  - like "Oh yeah - you may be eating now - but I'm going to make it so painful you won't want to eat."  Like so many other aspects of this disease - we just have to push through it.  I found distraction very helpful.  One of her counselors (the nutritionist/meal counselor) shared with her that this is normal, and explained the physiology of it (helpful for my D).  This helped her know it would hurt, it would happen, but she will pass through it as her body became more used to digesting the different foods.  It got to the point when she would just pull up her shirt and say, "Here we go - look at this!"  The corner was turned when she could do that and laugh.  She still gets a little bloated at times - calls it her "food baby" and moves on.  
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